Item 32 - Feasibility and Fiscal Evaluation for a Municipal Public Health Agency

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Christina Altmayer, MPA | HMA Principal Project role: Project Manager, Community Health and Statutory/Regulatory Lead Christina Altmayer is a senior executive with vast experience and success leading public agencies dedicated to early childhood. Her work has focused on policy and system changes to better serve the needs of children in both the health care and early education spaces. She joins HMA after leading high-impact efforts to implement and expand maternal and pediatric early intervention services as the senior vice president of the Center for Children and Family Impact for First 5 LA. In this capacity, she oversaw more than $90 million in programmatic investments focused on family supports, community engagement, early care and education, and health systems with a focus on policy and systems change. She developed First 5 LA’s 2020– 2028 strategic plan and pioneered innovative financing strategies to sustain priority maternal and child interventions, including partnerships with Medi-Cal managed care organizations. Previously, Ms. Altmayer served as executive director of First 5 Orange County where she led the organization through a comprehensive strategic planning and implementation process and oversaw an annual program portfolio of $35 million. She led several high-impact efforts, including initiatives related to developmental screening and early intervention, kindergarten readiness, and oral health and innovative financing strategies to sustain important services for children and families. She worked closely with CalOptima, Children’s Hospital of Orange County, and community organizations to implement innovative financing strategies to support early childhood investments. A seasoned consultant, she helmed her own management consulting organization helping nonprofit, public, and private organizations with long-term financial planning, strategy development, program design and implementation, performance management, and evaluation. She launched her career in consulting at Ernst & Young, serving as a senior manager supporting public and private clients. During her consulting tenure, she authored multiple articles on performance-based management and was a frequent instructor and presenter on this topic. Ms. Altmayer earned a bachelor’s degree in government and politics and a master’s degree in public administration from St. John’s University in New York. Jonathan Freedman, MSPH | HMA Vice President Project role: Technical Advisor Jonathan Freedman works with plans, providers, associations, and governmental and non- governmental entities in the areas of public health, safety-net health care, and public policy. His work focuses on strategic planning, public health improvement and transformation, and the health care safety net. He is regularly sought after for complex strategic and operational planning situations. Mr. Freedman held a variety of management and leadership roles for more than 25 years with the County of Los Angeles, including chief deputy director of the Los Angeles County Department of Public Health (DPH). While at DPH, Mr. Freedman was directly responsible for more than 4,000 employees and a $900 million budget encompassing the County’s delivery of core public health services, including surveillance and assessment, communicable disease control, clinical public health services, maternal and child health, environmental health, and numerous other programs. Mr. Freedman also served as the chief of strategy at L.A. Care Health Plan, the largest publicly operated health plan in the nation. He led L.A. Care’s entry into the commercial market with the launch of L.A. Care Covered on the California health insurance marketplace, Covered California. He was also intimately involved with L.A. Care’s substantial growth related to the Medicaid expansion and a dual demonstration known as CalMediConnect. EXHIBIT 1